RN Float Case Manager, Per Diem at Boston Medical Center

POSITION SUMMARY:Utilizing a collaborative process the care manager will assess plan implement monitor and evaluate the options and services required to meet an individuals health needs using communication and available resources to promote quality cost-effective outcomes. The care manager helps identify appropriate providers and facilities throughout the continuum of services while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the patient and the reimbursement source. This care manager is dedicated to handle the increased volume and to support the overall care management process and the department.Position: RN Float Case ManagerDepartment: Care ManagementSchedule: Per DiemJOB REQUIREMENTSEDUCATION:Graduate of an accredited BS Program in NursingCERTIFICATES LICENSES REGISTRATIONS REQUIRED:Licensed to practice as a Registered Nurse in the commonwealth of MassachusettsCCM or related certification attained within 24 months from the hire date is preferredEXPERIENCE:3-5 years of diversified clinical experience is requiredA minimum of 2 years of previous experience involving judgment and decision making preferably in a utilization management/case management positionKNOWLEDGE AND SKILLS:Extensive background and knowledge of current medical/surgical patterns of practice.Medical terminology and standard medical abbreviations.Managed care concepts the various health care delivery systemsMethods for assessing an individual are level of physical/mental impairment understanding of the physical and psychological characteristics of illness and understanding of expected treatment.Confidentiality issues and the legal and ethical issues pertaining to them.ICD-9 and CPT nomenclature and the ability to interpret and convert this information as applicable.Knowledge of benefits and various plan contracts eligibility issues and requirements.Role and functional responsibilities of case management professional; case management program philosophy and purpose within Managed Care ProgramExcellent interpersonal verbal and written communication and negotiations skillsStrong analytical data management and PC skillsNursingCMCompensation Range:$38.05- $75.33This range offers an estimate based on the minimum job qualifications. However our approach to determining base pay is comprehensive and a broad range of factors is considered when making an offer. This includes education experience and licensure/certifications directly related to position addition BMCHS offers generous total compensation that includes but is not limited to benefits (medical dental vision pharmacy) contract increases Flexible Spending Accounts 403(b) savings matches earned time cash out paid time off career advancement opportunities and resources to support employee and family wellbeing.Equal Opportunity Employer/Disabled/VeteransAccording to the FTC there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications or apps job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.Required Experience:Manager Key Skills Project Portfolio Management,Motivational Interviewing,HIPAA,Computer Skills,Intake Experience,Lean Six Sigma,Conflict Management,Case Management,Team Management,Program Development,Social Work,Addiction Counseling Employment Type : Part-Time Experience: years Vacancy: 1 Monthly Salary Salary: 38 - 75